ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations?
Correct Answer: B
Rationale: A transverse colostomy stoma is typically located in the upper abdomen, near the midline.
Question 2 of 5
A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: An interpreter ensures accurate communication, respecting the client's needs during admission.
Question 3 of 5
A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Structured activities help maintain cognitive function and provide routine, which is beneficial for clients with Alzheimer's disease.
Too much stimulation can be overwhelming, a dark room may disorient, and a monthly calendar may not be useful due to memory impairment.
Question 4 of 5
A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Correct Answer: B
Rationale: Laryngeal edema is a hallmark of anaphylaxis, indicating airway swelling that requires immediate intervention. Fever, hypertension, and arrhythmia are not typical anaphylactic responses.
Question 5 of 5
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Informing the provider respects the client's autonomy and ensures the care plan is adjusted appropriately, promoting client-centered care.